Provider Demographics
NPI:1053030890
Name:ACCRESCENT PLLC
Entity type:Organization
Organization Name:ACCRESCENT PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSOCIATE THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:CANDIS
Authorized Official - Middle Name:
Authorized Official - Last Name:BRAXTON
Authorized Official - Suffix:
Authorized Official - Credentials:LMFTA
Authorized Official - Phone:910-759-3673
Mailing Address - Street 1:5085 MORGANTON RD STE 300
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28314-1497
Mailing Address - Country:US
Mailing Address - Phone:910-759-3673
Mailing Address - Fax:
Practice Address - Street 1:5085 MORGANTON RD STE 300
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28314-1497
Practice Address - Country:US
Practice Address - Phone:910-759-3673
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-24
Last Update Date:2022-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty